| Holladay Center For Couples And Families | |
|
4190 S Highland Dr Ste 104 Salt Lake City UT 84124-2661 | |
| (385) 429-0380 | |
| Not Available |
| Full Name | Holladay Center For Couples And Families |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4190 S Highland Dr Ste 104, Salt Lake City, Utah |
| Authorized Official Name and Position | David Phillip Scoville (OWNER) |
| Authorized Official Contact | 8017091785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holladay Center For Couples And Families 3507 N University Ave Ste 350 Provo UT 84604-6602 Ph: (385) 429-0380 | Holladay Center For Couples And Families 4190 S Highland Dr Ste 104 Salt Lake City UT 84124-2661 Ph: (385) 429-0380 |
| NPI Number | 1114417219 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114417219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 6370628-3902 (Utah) | Primary |
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